Voets et al identified risk factors for severe viral bronchiolitis in infants. This can help to identify an infant who requires more aggressive management. The authors are from Vrije Universiteit Brussel.
Patient selection: infant with viral bronchiolitis
Outcome: admission, often to the pediatric ICU
Parameters:
(1) oxygen saturation in percent (relative risk 4.7)
(2) respiratory rate in breaths per minute (relative risk 4.6)
(3) age in months (relative risk 2.7)
Parameter
Finding
Points
oxygen saturation
>= 95%
0
< 95%
1
respiratory rate
<= 45 breaths per minute
0
> 45 breaths per minute
1
age in months
< 6 months
0
>= 6 months
1
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the greater the risk of admission.
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